Admission date desired Grade for which applying STUDENT INFORMATION. Home address City State Zip. Telephone ( )

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1 MACOMB CHRISTIAN SCHOOLS Application for Admission (This application does not assure final enrollment, but provides information upon which a decision will be based.) Admission date desired Grade for which applying Kindergarten Package STUDENT INFORMATION Student (legal name) Preferred Name Home address City State Zip Telephone ( ) In emergency, please notify ( ) of birth Place of birth Student's social security number Sex Age FAMILY INFORMATION Father's name Name of Spouse (if different from Mother): Address Home Phone Address Occupation Place of employment Business Phone Cell Phone: Education: High School yrs. College yrs. Degrees Church attending/location Member? Marital status: Married Widowed Divorced Separated Remarried Name(s) and ages of siblings residing with the student: Mother's name Name of Spouse (if different from Father): Address Home Phone Address Occupation Place of employment Business Phone Cell Phone: Education: High School yrs. College yrs. Degrees Church attending/location Member? Marital status: Married Widowed Divorced Separated Remarried

2 List chronologically all schools attended (Include pre-school and kindergarten) s Grade School Address Student s scholastic level: (Circle one) Superior Above Average Average Below Average PLEASE INCLUDE A COPY OF THE STUDENT'S MOST RECENT REPORT CARD WITH THIS APPLICATION. Has student ever repeated a grade? If yes, state grade and reason Has the student ever had any disciplinary difficulty in school? If yes, please explain. Has the student ever been suspended? Excluded? Expelled? Asked to withdraw from school? If yes, please explain. Has the student ever had any difficulty with civil authority? If yes, please explain. Please indicate any physical or emotional disabilities. Is there any reason the student cannot participate in physical education? If yes, please explain. Has the student been diagnosed as having a learning disability? If yes, explain. Has the student ever been recommended for Special Education, tested for placement in a Special Education program, or placed in a Special Education program? If yes, please explain. Has the student had an IEP? If so, when? Does the student receive medication? Type of medication Reason for medication

3 Has the student ever been screened for Attention Deficit Disorder or Attention Deficit Hyperactivity Disorder? _ To your knowledge, has your child ever used any type of illegal drugs, alcohol, or tobacco? SUPPLEMENTAL INFORMATION How did you hear of Macomb Christian Schools? Why are you interested in sending your student to Macomb Christian Schools? What are your ideas of a Christian School? Describe the student's interests, talents, abilities, etc. What forms of discipline have you found that work for your student? I understand that any false information or significant omissions on this application may disqualify my student from admission and may be justification for dismissal from school. Signature of Parent/Guardian Macomb Christian Schools Statement of Beliefs The Bible The Bible, consisting of 66 books, is God s inspired Word, written by men who were moved by the Holy Spirit. The Scriptures are infallible and inerrant in their original manuscripts and authoritative in all matters of which they speak. II Timothy 3:16-17, II Peter 1:21, I Peter 1:23-25, John 17:17 God There is one living and true God, infinite, personal, perfect, all-knowing, all-powerful, ever-present, and eternally existing in three coequal persons: Father, Son, and Holy Spirit. Deuteronomy 4:35 & 39, Matthew 28:18-19, I Corinthians 8:4-6, II Corinthians 13:14, Genesis 1:1, Romans 1:20, Psalms 147:5, Revelation 19:6, Jeremiah 23:24 Jesus Christ Jesus Christ is the Son of God and our Lord and Savior, being absolute Deity and perfect man. He was conceived of the Holy Spirit, born of the Virgin Mary, lived a sinless life, performed miracles, was an infallible teacher and provided salvation through His substitutionary death on the cross and His bodily resurrection. He ascended into heaven and is now at the right hand of the Father interceding for all believers as their High Priest. Luke 1:30-35, Romans 3:22-26, Acts 1:10-11, Philippians 2:5-11 The Holy Spirit The Holy Spirit convicts of sin, bears witness to the Gospel s truth and draws people to the Savior. He regenerates or gives new birth and is the Helper of believers by empowering, teaching, comforting, guiding and producing Christ-like character in them. At regeneration He baptizes the believer into Christ s body and gives him spiritual gifts for ministry. John 14:16-17, Acts 1:8, I Corinthians 12:1-3

4 Creation God created the universe out of nothing. He created and gave life to the original plants and animals in the manner described in Genesis 1-3. (We reject both naturalistic and theistic evolution.) Genesis 1:1-22, John 1:1-14, Colossians 1:12-17, Romans 1:19-20 Man God created man from the dust of the earth in holiness and in His own image. Through Satan s temptation, Adam, the first man, disobeyed God and fell from his sinless state, bringing sin and death to the whole human race and suffering to all creation. Being sinners by nature and choice and without the holiness God requires, man needs to be reconciled to his Creator or suffer the eternal penalty for his sin. Genesis 1:26-30, 3:1-24, Romans 1:19-32, Ephesians 2:1-22 Salvation Salvation comes to man only by God s grace through faith apart from any human effort. God declares all those who put their trust in the Lord Jesus Christ to be justified, righteous, redeemed, and reconciled and gives them eternal life as a free gift. Romans 3:23-25, Ephesians 1:7, 2:8-22 The Church The church is the body of which Christ is the Head and all true believers are members. It is made visible in local congregations of believers who gather in like faith for the purposes of worship, evangelism, edification, fellowship and observance of the ordinances of baptism and the Lord s Supper. Matthew 16:15-19, Acts 2:41-42, Romans 1:7, I Corinthians 1:2, 3:16, Ephesians 1:22-23 The Lord s Return The return of Christ includes both the rapture of the Church and His return to earth from heaven. It will be sudden, visible, personal, with power and great glory according to His promise. He will establish His reign over the earth and judge both the dead and living in righteousness. Unbelievers will be consigned to everlasting punishment and believers will dwell with the Lord forever. I Thessalonians 4:13-5:11, II Thessalonians 1:7-10 Religious Liberty Church and state exist by the will of God, each with distinctive concerns and responsibilities, free from control by the other. Christians should pray for civil leaders and obey and support government in matters not contrary to Scripture. I Corinthians 6:2, Romans 13:1-7, Titus 3:1, Matthew 22:21, I Peter 2:13 Christian Social Responsibility Christians are salt and light in society; opposing all evil; promoting truth, justice, goodness, and peace; aiding the needy; and preserving the dignity of people of all races and conditions. Matthew 5:13-16, I Peter 3:15, Acts 2:42-47, Ephesians 2:10 The Family and Education The family is the basic unit of society and must be preserved in its integrity and stability. Biblical marriage is limited to a covenant relationship between a man and a woman. Parents are responsible for the nurture, instruction, and discipline of their children in the Lord. Ephesians 5:1, 2, 15, Colossians 3:18-21, Proverbs 22:6, II Corinthians 12:14, I Timothy 3:4, Titus 2:4, Proverbs 13:24, I Peter 3:1-7, Genesis 2:23-24 Your signature indicates your consent and approval that the Macomb Christian Schools Statement of Beliefs is the foundation of Macomb Christian Schools biblical teaching and that your child will be taught accordingly. We have read and agree to all that is stated above: Signature of Parent or Guardian Signature of Parent or Guardian Signature of Person Responsible for Payment Social Security Number of Person Responsible for Payment Macomb Christian Schools admits students of any race, color, national or ethnic origin to all the rights, privileges, programs, and activities available at the school

5 MACOMB CHRISTIAN SCHOOLS SECONDARY ACADEMIC & SOCIAL RECOMMENDATION Please note: This form must be completed before an academic exam and interview will be scheduled. Section A. TO BE COMPLETED BY THE PARENT OR LEGAL GUARDIAN. I, the undersigned parent/guardian, authorize you to release information requested by Macomb Christian Schools regarding the following student: is applying for admission to grade. Student s Full Name Grade Signature of Parent/Guardian Section B. TO BE COMPLETED BY THE PRINCIPAL OR COUNSELOR FROM CURRENT SCHOOL. Thank you for taking the time to complete this recommendation. The abovementioned student is applying for admission to Macomb Christian Schools. The information you provide will be treated with the strictest of confidence. Please fax or mail the completed form (see bottom of page for information) along with a copy of the student s most recent report card and/or transcript. (If information is not applicable to student, please leave blank.) Achievement Test Data: Score: Name of Test Reading Mathematics of Test Language Writing Placement Recommendation (please circle): Mathematics: Standard English Course Standard Social Studies Course Highest level of math successfully completed: Honors English Course Honors Social Studies Course Social and Academic History: Check Appropriate Box Exemplary Above Average Average Below Average Unknown Behavior Respect for Authority Choice of Associates Attendance Motivation Study Habits Oral Communication Written Communication Works Independently Works Cooperatively Overall Academics I recommend this student Enthusiastically Strongly Moderately With Reservation [Please Explain] Name of Evaluator Title Signature Name of School Phone Number Additional Comments: (continue on back) Macomb Christian Schools Lorraine Avenue Warren, Michigan (586) Fax (586)

6 MACOMB CHRISTIAN SCHOOLS ELEMENTARY ACADEMIC & SOCIAL RECOMMENDATION Please note: This form must be completed before an academic exam and interview will be scheduled. Section A. TO BE COMPLETED BY THE PARENT OR LEGAL GUARDIAN. I, the undersigned parent/guardian, authorize you to release information requested by Macomb Christian Schools regarding the following student: is applying for admission to grade. Student s Full Name Grade Signature of Parent/Guardian Section B. TO BE COMPLETED BY THE PRINCIPAL OR COUNSELOR FROM CURRENT SCHOOL. Thank you for taking the time to complete this recommendation. The abovementioned student is applying for admission to Macomb Christian Schools. The information you provide will be treated with the strictest of confidence. Please fax or mail the completed form (see bottom of page for information). (If information is not applicable to student, please leave blank.) Social and Academic History: Check Appropriate Box Exemplary Above Average Average Below Average Unknown Behavior Respect for Authority Attendance Motivation Study Habits Oral Communication Written Communication Works Independently Works Cooperatively Overall Academics I recommend this student Enthusiastically Strongly Moderately With Reservation [Please Explain] Name of Evaluator Title Signature Name of School Phone Number Additional Comments: (continue on back) Macomb Christian Schools Lorraine Avenue Warren, Michigan (586) Fax (586)

7 Macomb Christian Schools Lorraine Avenue Warren, MI Fax AFFIRMATION OF PRIOR DISCIPLINE RECORD A willful false statement of this affirmation will result in a report to the appropriate authorities, and may result in disenrollment. Directions: Check the applicable paragraph, provide all appropriate information, and sign this document. Paragraph 1: The undersigned affirms that has not been suspended, expelled, or otherwise disenrolled from any public or private school in Michigan or any other state for an offense involving weapons, alcohol or drugs, or for the willful infliction of injury to another person or for any act of violence against persons and/or property committed on school premises, at any school sponsored activity, or on a public or private conveyance providing transportation to and from a school or school sponsored activity. Paragraph 2: The undersigned affirms that has been suspended, expelled, or otherwise disenrolled from a public or private school in Michigan or another state for an offense involving weapons, alcohol or drugs, or for the willful infliction of injury to another person or for any act of violence against persons and/or property committed on school premises, at any school sponsored activity, or on a public or private conveyance providing transportation to and from a school or school sponsored activity. If you checked paragraph 2, explain the circumstances in detail. Include the school name, dates of suspension or expulsion, and a description of the incident giving rise to the suspension or expulsion. Signature of Student Signature of Parent/Guardian Name of Sending School: Please check one: According to our records, we can verify that the information provided by the parent/guardian or student is correct. According to our records, we can verify that the information provided by the parent/guardian or student is not correct. If the student has been involved in offenses involving weapons, alcohol, or drugs, or willful infliction of injury to person or an act of violence against persons and/or property on school premises, at a school sponsored activity, or on a public or private conveyance providing transportation to or from a school or school sponsored activity, please forward appropriate disciplinary documentation. Thank you. Signature and Title of Sending Administrator

8 MACOMB CHRISTIAN SCHOOLS PARENT AGREEMENT (Please read carefully before signing.) 1. We, as parents, desire a Christian education where character, values, and academics are taught from a Biblical worldview. 2. We agree to support the school with our prayers and with a positive attitude. Complaints or negative comments will be shared only with the teachers, administrator, or person involved and not with my child or other people, following the Matthew 18 principle. 3. We understand that if at any time the school determines, in its sole discretion, that our actions do not support the ministry, or reflect the lack of cooperation and commitment to the home and school working together, the school has the right to request the withdrawal or refuse the re-enrollment of our child(ren). 4. We hereby invest authority in the school and its authorities to discipline our child as necessary. We further agree to cooperate by disciplining our student in the home. 5. We understand that the school reserves the right to refuse enrollment, exclude, or expel any student who does not cooperate with the total educational process. 6. We understand that the standards of Macomb Christian Schools do not tolerate profanity, disrespect to school personnel, immorality, or any conduct that will dishonor God or His Word. (Macomb Christian Schools definition of sexual immorality includes heterosexual premarital sex, any student professing to be homosexual/bisexual, or is a practicing homosexual/bisexual, as well as any student who condones, supports, or otherwise promotes such practices either physically, simulated, virtually or electronically.) (Leviticus 20:13, Romans 1:27; Ephesians 5:3-4) 7. We understand that students will be subject to discipline or dismissal if during off school hours they engage in conduct that violates Biblical principles, is dishonoring to God, or casts a poor reflection on the name and reputation of Macomb Christian Schools. 8. We understand that because the Bible states that disputes among believers shall be handled within the church and not in the secular courts (1 Corinthians 6:1-8), we hereby agree that all of our family member s disputes involving or affecting Macomb Christian Schools shall be settled privately, or, if necessary, in accordance with the mediation or binding arbitration rules of either the Institute for Christian Conciliation or the American Arbitration Association. We agree that mediation or binding arbitration shall be the sole and exclusive remedies for any controversy or claim arising out of or affecting our family s relationship with Macomb Christian Schools. We understand that an arbitration award may be enforced, if necessary, in a civil court. 9. We pledge to pay our financial obligations to the school regularly and on time and understand that late fees will be assessed on any balance that is delinquent. We also understand that assessments will be made if our student is responsible for damage to any school property or the property at any school related event. We understand that no transcripts of grades or report card will be released to us or subsequent institutions until all dues, fees and/or fines are paid (this includes library fines, book, athletic and lab fees) and all school texts, athletic equipment, and other school-owned property is returned. We understand that delinquent accounts may also lose access to grades and related information on the website. 10. We understand that when a student withdraws, is excluded, or expelled, the current month s charges are due and payable and will not be refunded. 11. We agree to support the high academic standards of the school by encouraging our student to complete homework and assignments and by providing a quiet place for our student to study. 12. We understand that it is our obligation to ensure that our students arrive to school on time each day. We further understand that it is our responsibility to see regular attendance is maintained and that absences in grades 7-12 in excess of 12 days in a semester (without a written doctor s excuse) will result in failure for the semester. 13. We understand that the school encourages weekly church attendance for all students and their families. 14. We will absolve the Macomb Christian Schools and its employees of any liability to us or to our student because of any injury sustained under normal supervision while on school property or at school activities throughout the school year. 15. We accept the methodology and philosophy of Macomb Christian Schools. We promise to abide by the standards and rules of Macomb Christian Schools as listed here and in the Parent/Student Handbooks. d: Signature: Printed Name: d: Signature: Printed Name:

9 MACOMB CHRISTIAN SCHOOLS STUDENT AGREEMENT (Please read carefully before signing.) 1. I promise to actively seek, to grow as a Christian and to become like Jesus Christ in word, in deed, and in thought. To that end I will read my Bible faithfully, pray regularly, and strive to faithfully attend my local church (Colossian 1:10). 2. I promise to willingly abide by the school s regulations, guidelines, dress code, and standards as stated in the Parent/Student Handbooks. I will bring any questions I have to the administration or faculty because I know that complaining is not the proper way to respond (Matthew 18). 3. I will do my best to work up to my ability as a student and will maintain a cheerful, cooperative attitude while a student at Macomb Christian Schools (Colossians 3:17). The faculty will receive my respect and obedience at all times. 4. I promise to lead a life consistent unto the Lord both at school and away from school (I Corinthians 10:31). My promise includes abstaining from smoking, drinking any alcoholic beverage, using or possessing drugs, profanity, sexual misconduct, or doing anything that would hinder or ruin my testimony in Christ or that would harm the Christian testimony of the school. (I Corinthians 6:18-20) 5. I will respect, honor and obey all adults in authority at the school as they strive to follow Godly principles (Romans 13:2). Moreover, I will strive to be kind, tenderhearted, and forgiving toward all students with the goal of helping and building them up in the Lord. I will guard my mouth so as not to wound another student s spirit with negative talk, will speak well of other students, will praise good qualities in them, will not expose other s weaknesses (unless that weakness is in violation of this student pledge), and I will strive to demonstrate Christ-like love to my classmate. (Ephesians 4:31-32) 6. I will support in actions and spirit the goals of Macomb Christian Schools and to cooperate fully with the administration and faculty (Romans 13:2). I will avoid close friendships outside school that would encourage me to disobey the Lord, my parents, or the school guidelines. 7. I understand that my failure to follow both the specific guidelines listed in this pledge and the spirit behind the pledge will be a serious matter to the administration of Macomb Christian Schools which may result in dismissal from the school. I understand that attending Macomb Christian Schools is a privilege, not a right, and that the administration may deny my enrollment if they feel my spirit or influence is a detriment to the spiritual well-being of the school. Student Signature: : I have read and discussed the material in the Student Agreement with my child. Parent Signature: :

10 MACOMB CHRISTIAN SCHOOLS Lorraine Warren, Michigan (586) APPLICATION FOR ADMISSION STUDENT QUESTIONNAIRE GRADES 6-12 To be filled out by the student in his or her own handwriting of application, Full name (Please print): First Middle Last 2. Age next September (years and months): years months 3. List your present subjects and latest report card marks (If you have not had a report card this year, give last June's grades.). of report card: Month Year SUBJECT MARKS 4. How many students are in your entire grade? 5. Estimate your standing in your entire grade by circling one of the following: top tenth top half bottom half 6. List academic subjects a) of greatest interest to you. b) of least interest to you. 7. List non-academic school activities of special interest to you.

11 8. Have you ever attended a summer school? If yes, please give the name and address, your reasons for attending (make-up work, extra work, etc.), and subjects you took. 9. Have you ever had private tutoring lessons in any subject? If yes, in what subjects, for what reason, and for how long? Please answer the following questions about your activities and experiences, being as specific as possible. We do not expect you to have done all the things suggested, but we do want to give you a chance to tell us about those in which you have taken an active interest. If you have an interest or talent not covered above, please tell us about it in the space provided. 10. Describe your creative activities (musical, artistic, literary, dramatic). If you play a musical instrument, tell for how long, how well, whether you read music by sight, and any other information. 11. Describe your athletic activities. For example, tell us in which sports you participate and how frequently, the team you are on (Little League, 8th grade, etc.), what position you play, and other information you wish to tell. 12. Describe any camp experience you have had. 13. Describe hobbies you actively pursue. 14. Are you an active member in a church? Yes No Name of Church

12 15. Describe your areas of interest and/or involvement in church. 16. Briefly tell us about any jobs you do in or outside the family. 17. Macomb Christian Schools is a school dedicated to the glory of God. It is in existence to help you to grow spiritually, emotionally, physically, and academically. It is expected that you will at all times live in accordance with what our school represents and believes, and that in all things you will represent it well as an example of what its member are and do. If a student at Macomb Christian Schools, would you uphold these high expectations? 18. Will you faithfully abide by the policies that govern the lifestyle of our students as briefly summarized below? Macomb Christian Schools has as its foundation the goal of presenting a Christian educational program to our students and a Christ-like model to the community. In light of these goals, lifestyle is an important consideration. With this in mind, along with the scriptural guidelines of liberty found in I Corinthians 8-10 and Romans 14, the school unashamedly states its opposition to non-christian lifestyles, immorality and the use of alcohol, tobacco and drug related substances both on and off school property. A Christian lifestyle cannot simply confine itself to the school day. It must be a life's belief and practice. The school will not hesitate to assert its discipline in areas where a student practices a lifestyle or engages in activities antagonistic to the policies, goals and character of the school, regardless of where the event occurs. The school also applies this standard in simulated, virtual, and electronic situations. Please be advised that if a student engages in compromising activities on or off campus, the school, with the endorsement of the Macomb Christian Board and Administration, will take disciplinary action. Should the students' beliefs and lifestyle give consent to the activities outside the lifestyle expected by the school, it is best that they reconsider their affiliation with Macomb Christian Schools. 19. In one or more paragraphs, please explain why you desire to be a student at Macomb Christian Schools.

13 20. In one or more paragraphs, please describe your personal relationship with Jesus Christ. Macomb Christian students will be expected to honor the Godhead and the Word of God, respect the United States of America, and show respect to all personnel of this school. My signature below is an acknowledgment that I understand the nature of the spiritual, behavioral, and academic standards of Macomb Christian Schools, and that I agree to be held accountable for any violations of these standards. My signature further evidences my desire to be a member of the Macomb Christian Schools student body. Signature Macomb Christian Schools admits students of any race, color, national or ethnic origin to all the rights, privileges, programs, and activities available at the school.

14 MACOMB CHRISTIAN SCHOOLS PERSONAL REFERENCE FORM Please Note: This form may not be completed by a family member. This form must be completed for students applying for grades Section A. TO BE FILLED IN BY THE FAMILY. After you have filled in this top section, please give the form to a personal reference (non-family member) to complete and mail/fax directly to the school. Applicant: Applying for Grade: Section B. TO BE COMPLETED BY THE PERSONAL REFERENCE. The above named student is seeking admission to Macomb Christian Schools in Warren, Michigan. One of the requirements for admission is this recommendation. Please record your observations by circling the appropriate box below, then answer the questions which follow. AREAS Integrity Exceptional No cause to question Questionable Record of Dishonesty Conduct/Neatness Outstanding Generally Quite Good Marginal Poor Initiative and Drive Well Above Average Generally Acceptable Occasional Lacking Very Weak Personal Qualities Outstanding Generally Quite Good Acceptable Unstable/Immature Emotional Stability Exceptional Well Balanced Usually Stable Apathetic Recommendation as a Person Excellent Good Fair Poor 1. How long have you known the applicant? 2. What relationship do you have to the applicant? 3. Are there any other qualities or special characteristics that stand out in the applicant? (Please specify) Additional Comments: (continue on back) Name of Evaluator Title Signature Phone Number Macomb Christian Schools Lorraine Avenue Warren, Michigan (586) Fax (586)